North Carolina General Statutes
Article 65 - Hospital Service Corporations.
§ 58-65-65 - Coverage for active medical treatment in tax-supported institutions.

58-65-65. Coverage for active medical treatment in tax-supported institutions.
(a) No dental, health care, medical, or vision service plan, contract, or certificate governed by this Article and Article 66 of this Chapter shall be delivered, issued, executed, or renewed in this State, or approved for issuance or renewal in this State, unless it provides for the payment of benefits for charges made for medical care rendered by duly licensed State tax-supported institutions on a basis no less favorable than the basis that would apply had the medical care been rendered by any other public or private institution or provider. The term "State tax-supported institutions" includes community mental health centers and other health clinics that are certified as Medicaid providers.
(b) No plan, contract, or certificate shall exclude payment for charges of a duly licensed State tax-supported institution because of its being a specialty facility for one particular type of illness nor because it does not have an operating room and related equipment for the performance of surgery, but it is not required that benefits be payable for domiciliary or custodial care, rehabilitation, training, schooling, or occupational therapy.
(c) This section does not apply to any plan, contract, or certificate that is individually underwritten or provided for a specific individual and the members of the individual's family as a nongroup policy. (1975, c. 345, s. 2; 2018-47, s. 7(e); 2021-169, s. 1.)

Structure North Carolina General Statutes

North Carolina General Statutes

Chapter 58 - Insurance

Article 65 - Hospital Service Corporations.

§ 58-65-1 - Regulation and definitions; application of other laws; profit and foreign corporations prohibited.

§ 58-65-1.1 - Definitions applicable to this Article.

§ 58-65-2 - Other laws applicable to all service corporations.

§ 58-65-5 - Contract for joint assumption or underwriting of risks.

§ 58-65-10 - Premium or dues paid.

§ 58-65-15 - Incorporation.

§ 58-65-20 - Members of governing boards.

§ 58-65-25 - Hospital, physician, dentist, and optometrist contracts.

§ 58-65-30 - Dentists' services.

§ 58-65-35 - Nurses' services.

§ 58-65-36 - Physician services provided by physician assistants.

§ 58-65-40 - Supervision of Commissioner of Insurance; form of contract with subscribers; schedule of rates.

§ 58-65-45 - Public hearings on revision of existing schedule or establishment of new schedule; publication of notice.

§ 58-65-50 - Application for certificate of authority or license.

§ 58-65-55 - Issuance and continuation of license.

§ 58-65-60 - Subscribers' contracts; required and prohibited provisions.

§ 58-65-65 - Coverage for active medical treatment in tax-supported institutions.

§ 58-65-70 - Contracts to cover any person possessing the sickle cell trait or hemoglobin C trait.

§ 58-65-75 - Coverage for chemical dependency treatment.

§ 58-65-80 - Meaning of terms "accident", "accidental injury", and "accidental means".

§ 58-65-85 - Discriminatory practices prohibited.

§ 58-65-90 - No discrimination against mentally ill or chemically dependent individuals.

§ 58-65-91 - Coverage for certain treatment of diabetes.

§ 58-65-92 - Coverage for mammograms and cervical cancer screening.

§ 58-65-93 - Coverage for prostate-specific antigen (PSA) tests.

§ 58-65-94 - Coverage of certain prescribed drugs for cancer treatment.

§ 58-65-95 - Investments and reserves.

§ 58-65-96 - Coverage for reconstructive breast surgery following mastectomy.

§ 58-65-100 - Statements filed with Commissioner.

§ 58-65-105 - Visitations and examinations.

§ 58-65-110 - Expenses.

§ 58-65-115 - Licensing and regulation of agents.

§ 58-65-120 - Dental, health care, medical, and vision service associations and agent to transact business through licensed producers only.

§ 58-65-125 - Revocation and suspension of license; unfair trade practices.

§ 58-65-130 - Amendments to certificate of incorporation.

§ 58-65-131 - Findings; definitions; conversion plan.

§ 58-65-132 - Review and approval of conversion plan; new corporation.

§ 58-65-133 - Creation and operation of foundation.

§ 58-65-135 - Cost plus plans.

§ 58-65-145 - Preexisting hospital service corporations.

§ 58-65-150 - Construction of Chapter as to single employer plans; associations exempt.

§ 58-65-155 - Merger or consolidation, proceedings for.

§ 58-65-165 - Commissioner of Insurance determines corporations exempt from this Article and Article 66 of this Chapter.

§ 58-65-166 - Policy statement and definitions.

§ 58-65-167 - Authority to indemnify.

§ 58-65-168 - Mandatory indemnification.

§ 58-65-169 - Advance for expenses.

§ 58-65-170 - Court-ordered indemnification.

§ 58-65-171 - Determination and authorization of indemnification.

§ 58-65-172 - Indemnification of officers, employees, and agents.

§ 58-65-173 - Additional indemnification and insurance.

§ 58-65-174 - Application of Part.